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The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index Cover

The Impact of Childhood Trauma and Depressive Symptoms on Body Mass Index

Open Access
|May 2019

Figures & Tables

Figure 1

Direct association results between childhood trauma, current depressive symptoms and BMI. All the regression analysis are adjusted for age, sex and smoking (GANI_MED additionally adjusted for cohort).
Direct association results between childhood trauma, current depressive symptoms and BMI. All the regression analysis are adjusted for age, sex and smoking (GANI_MED additionally adjusted for cohort).

Descriptive statistics of all the three study samples: SHIP-2, SHIP-TREND-0 and GANI_MED_

SHIP-2 (N = 1657)SHIP-TREND-0 (N = 3278)GANI_MED (N = 1742)
Sex
females867 (52%)1651 (50%)717 (41%)
Age (mean ± sd)57 ± 13 (range: 31–93)51 ± 15 (range: 20–82)59 ± 48 (range: 19–92)
Smoking status
never639 (39.6%)1221 (37.3%)801 (46%)
ex688 (41.5%)1216 (37.1%)597 (34.3%)
current330 (19.9%)841 (25.7%)344 (19.8%)
BMI (mean ± sd)28.7 ± 4.7 (range: 19.7–49.4)28.4 ± 5.0 (range: 18.5–54.4)29.9 ± 5.2 (range: 18.9–59.1)
Depression score (meanBDI-IIPHQ-9PHQ-9
± sd)6.1 ± 7 (range: 0-58)12.9 ± 3.6 (range: 9–35)15.0 ± 5.6 (range: 9–36)
CTQ sum score (mean ± sd)33.7 ± 9.4 (range: 25–119)33.1 ± 9.5 (range: 25–115)8.0 ± 3.0 (range: 5–25)
Emotional abuse6.2 ± 2.4 (range: 5–25)6.2 ± 2.4 (range: 5–25)1.3 ± 0.9 (range: 1–5)
57.7% no emotional abuse60.7% no emotional abuse83.5% no emotional abuse
Physical abuse5.8 ± 1.9 (range: 5–25)5.7 ± 1.9 (range: 5–25)1.4 ± 0.8 (range: 1–5)
69.8% no physical abuse74.4% no physical abuse79.9% no physical abuse
Sexual abuse5.2 ± 1.3 (range: 5–25)5.2 ± 1.3 (range: 5–25)1.1 ± 0.4 (range: 1–5)
93,4% no sexual abuse94,7% no sexual abuse94,9% no sexual abuse
Emotional neglect9.2 ± 4.4 (range: 5–25)9.0 ± 4.3 (range: 5–25)1.9 ± 1.1 (range: 1–5)
23.1% no emotional neglect25.8% no emotional neglect44.6% no emotional neglect
Physical neglect7.2 ± 2.5 (range: 5–25)7.0 ± 2.5 (range: 5–25)2.3 ± 1.3 (range: 1–5)
37.9% no physical neglect41.1% no physical neglect39.6% no physical neglect
Renal Insufficiency: 113 (6.49%)
Stroke: 254 (14.58%)
Metabolic Syndrome:
- Cardiology: 232 (13.32%)
Clinical cohortsNANA- Psychiatry: 163 (9.36%)
Fatty liver: 126 (7.23%)
Periodontal disease: 404 (23.19%)
Heart failure: 393 (22.56%)
COPD: 57 (3.27%)

Associations between CTQ variables, depression scores (standardized coefficients) and BMI in SHIP-2, SHIP-TREND-0 and GANI_ MED_

SHIP-2 (N=1657)SHIP-TREND-0 (N=3278)GANI_MED (N=1742)
Direct effect of CTQ variables on BMI *
CTQ sum scoreβ = 0.16 ± 0.11, p = 0.14β = 0.36 ± 0.1, p < 0.001β = 0.42 ± 0.15, p = 0.005
Emotional abuse scoreβ = 0.09 ± 0.12, p = 0.45β = 0.37 ± 0.11, p < 0.001β = 0.27 ± 0.16, p = 0.087
Physical abuse scoreβ = 0.09 ± 0.12, p = 0.45β = 0.31 ± 0.11, p = 0.003β = 0.43 ± 0.16, p = 0.006
Sexual abuse scoreβ = -0.07 ± 0.12, p = 0.56β = 0.06 ± 0.08, p = 0.45β = 0.30 ± 0.21, p = 0.15
Emotional neglect scoreβ = 0.14 ± 0.11, p = 0.20β = 0.27 ± 0.09, p =0.003β = 0.37 ± 0.13, p = 0.005
Physical neglect scoreβ = 0.26 ± 0.12, p = 0.028β = 0.31 ± 0.09, p = 0.001β = 0.10 ± 0.13, p = 0.42
Direct effect of BDI-II / PHQ-9 on BMI*
BDI-II/PHQ-9β = 0.3 ± 0.14 ,p = 0.027β = 0.56 ± 0.1 , p < 0.001β = 0.34 ± 0.16, p = 0.038
Mediation trough depression score*
Average mediated effect of0.079 (45%)0.137 (38%)0.08 (16.4%)
CTQ sum score by current depression95% CI = (-0.002, 0.162), p ≥ 0.0595% CI = (0.081, 0.199), p < 0.0595% CI = (0.003, 0.16), p < 0.05
Language: English
Page range: 97 - 105
Submitted on: Mar 6, 2019
Accepted on: Mar 21, 2019
Published on: May 13, 2019
Published by: Sciendo
In partnership with: Paradigm Publishing Services
Publication frequency: 2 times per year

© 2019 Lara N. Schulze, Sandra Van der Auwera, Deborah Janowitz, Johannes Hertel, Katharina Wittfeld, René Walk, Nele Friedrich, Henry Völzke, Hans J. Grabe, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.